Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-05-18-59

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214515
DEA: 024F6004
EFIS: 0213000012
DIST-CO-RTE-PM02-SIS,TRI-36,96,299-VAR
Award Date01/14/2020
Closeout DateNot set
Work DescriptionBRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT.
Location DescriptionSISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date05/18/2021 Sample Unique Key59
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing05/18/2021
Sample typeVerification A brief description of the sample1/2-inch Type A HMA (PG 64-28 M)
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of sampler Telephone number of sampler
Laboratory sample identificationD78802 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMercer-Fraser Company, Willow Creek Plant, Willow Creek, CA Transportation Laboratory (TL) Number815633
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot number
Sublot number JMF Verification ID JMF3513-2021-63

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-18-59-2AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Colt SweenyCT D02 - North Region Materials Lab05/19/2021Ward Jenkins
Yes
07/23/2021
2021-05-18-59-4AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)Darrell ValasekCT D02 - North Region Materials Lab05/19/2021Ward Jenkins
Yes
07/23/2021
2021-05-18-59-5AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)Darrell ValasekCT D02 - North Region Materials Lab05/20/2021Ward Jenkins
Yes
07/23/2021